Document Detail


Closed mitral valvotomy: actuarial analysis of results in 654 patients over 12 years and analysis of preoperative predictors of long-term survival.
MedLine Citation:
PMID:  7082084     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The records of 654 patients with mitral stenosis who underwent closed mitral valvotomy over a 12-year period were submitted to actuarial analysis. This revealed a low (2.97%) operative mortality. At 12 years, the overall cumulative proportion surviving was 78%; 47% of patients survived without reoperation. The usual clinical indicators of suitability for closed valvotomy were successful in predicting improved survival. The surgeon's assessment of the suitability of the valve correlated well with outcome. Valvotomy during pregnancy was associated with a good long-term outlook. The presence of pulmonary hypertension and atrial fibrillation did not alter survival significantly. Sex ane age were not associated with adverse prognosis. We conclude that closed mitral valvotomy still has a place in the management of mobile mitral stenosis, particularly in areas where there is a high incidence of rheumatic heart disease and a large number of young patients have mobile mitral stenosis.
Authors:
P J Commerford; T Hastie; W Beck
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  33     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1982 May 
Date Detail:
Created Date:  1982-07-19     Completed Date:  1982-07-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  473-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Actuarial Analysis
Adolescent
Adult
Atrial Fibrillation / complications
Female
Humans
Hypertension, Pulmonary / complications
Male
Middle Aged
Mitral Valve / surgery*
Mitral Valve Stenosis / complications,  mortality,  surgery*
Pregnancy
Pregnancy Complications, Cardiovascular
Prognosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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